Benefits · Healthcare
How to apply for Gillespie County Indigent Health Care Program (CIHCP)
Gillespie County Commissioners Court — administers the County Indigent Health Care Program (CIHCP) under Texas Health & Safety Code Chapter 61; located in Fredericksburg
Who it's for
The Gillespie County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income Gillespie County residents who don't qualify for other state or federal healthcare programs. Eligibility typically requires: Gillespie County resident age 18+; household income less than 21% of the Federal Poverty Level (the Texas statutory minimum); not eligible for or receiving Medicaid. CIHCP services typically cover physician services, lab and x-ray, three prescriptions per month, and inpatient and outpatient hospital services through participating providers. PRIMARY HOSPITAL: Hill Country Memorial Hospital (Fredericksburg, independent nonprofit). For Gillespie residents above 21% FPL, the dominant hospital's own Patient Financial Assistance Program (typically at 200% FPL) is the broader pathway. Apply by calling Gillespie County at 830-997-7502.
The 21% FPL gate is the Texas statutory minimum — extremely strict. Only Gillespie residents at or near SSI income levels qualify for full CIHCP. Hill Country Memorial Hospital (Fredericksburg, independent nonprofit) is the practical hospital partner. Some Gillespie-area hospitals may operate their own broader financial assistance programs (typically at 200% FPL) — call the hospital billing office directly.
What you'll need
- Completed Gillespie County CIHCP application
- Proof of all household income
- Proof of all household resources/assets
- Proof of Gillespie County residency
- Photo identification
- Proof of uninsured status and Medicaid ineligibility
Where to apply
Apply online: official application
By phone: 830-997-7502
Renewals
annual recertification
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.